Untitled

Date	Description
July 11, 2025	Kaija is very stable, so no changes required
Oct 30, 2023	Reduced Pantoprazole to 1 tab alternate days
Feb 14, 2023	Vit D increased to 4000 mcg
Nov 11, 2022	Blood work indicated Vit D is low. Added 3000 mcg per day dosage over several months in 2022
Jan 9, 2020	Decreased dosage of Rufinamide/Banzel to 1 tablet in am & 1 tablet in the pm due to hyper-behaviour
Dec 31, 2019	Increase dosage of Rufinamide/Banzel to 1 tablet in am & 1 ½ tablets in the pm
Dec 13, 2019	Starting Rufinamide/Banzel at 1 tablet twice daily
Dec 1, 2019	Depakane level good @ 642 ref: 350-700 Checked prior to starting Rufinamide on Dec 13, 2019
Jan 2, 2017	Levetiracetam decreased from 2½ pills to 2 pills, both morning & bedtime, due to increased drowsiness, increased seizures and disrupted sleep pattern.
Dec 24, 2016	Levetiracetam increased from 2 pills to 2½ pills, both morning & bedtime
Dec 9, 2016	Amoxicillin four (4) tabs 250mg, three (3) times daily abscessed tooth on lower left for one (1) week
Nov 23, 2016	Levetiracetam increased from 1½ pills to 2 pills, both morning & bedtime, due to prolonged seizures
Sept 12, 2016	Lactulose increased from 10 mL to 12 mL, twice a day
Aug 4, 2015	Lactulose increased from 8 mL to 10 mL, twice a day
Nov 10, 2014	Depakene was too high (753 µmol/L) (ref. is 350-700) 3 pm dosage lowered to 5 mL
Sept 18, 2013	Lactulose increased from 5 mL to 8 mL, twice a day
Mar 8, 2013	Anafranil increased from 2 pills a day to 3 pills a day & one month later changed back to 2 pills a day
Oct 21, 2012	Lactulose increased to 6 mL twice a day
Sept 30, 2012	Lactulose reduced from 20 mL twice a day, to 5 mL twice a day
Sept 16, 2012	Metronidazole (Flagyl®) 250mg, 2 tabs 3 times a day, for 10 days to treat C.Diff
Sept 3, 2012	Metronidazole (Flagyl®) 250mg, 2 tabs twice a day, for 10 days to treat C.Diff
July 19, 2012	Clindamycin 300mg (Abscess tooth) 30 cap over 8 days
May 15, 2012	Amoxicillin to treat cellulitis in Kaija's arm
Dec 31,2009	Pantoloc changed to generic brand
Dec 23,2009	Depakene level at 624 µmol/L, (ref. is 350 - 700)
Feb 5,2009	Depakene decreased from 7 mL to 6 mL at bedtime (drug level too high at 844 µmol/L)
Mar 15,2008	Increased Levetiracetam by a ½ pill in the morning and bedtime
Mar 2,2008	Reintroduced Pantoloc
Feb 1, 2008	Feb 1, 2008 to Feb 26, 2008 Pantoloc slowly removed
Nov 22, 2007	Depakene increased by 1 mL at bedtime
Aug 10, 2007	Reduced Levetiracetam to 1 tablet twice a day and re-introduced Topamax at ¼ pill in the evening
Jul 4, 2007	Increased Levetiracetam to 2 tablets twice a day
May 31, 2007	Levetiracetam started at 1 tablet twice a day and Topamax lowered by ¼ tablet each week for 5 weeks
Dec 29, 2006	Micronor added 1 pill at bedtime
Dec 29, 2006	Depo Provera discontinued and replaced by Micronor
May 12, 2006	Topamax increased to ¾ of a pill at bedtime
May 6, 2006	Lactulose increased to 20 mL in am. & 20 mL at supper
Mar 31, 2006	Pantoloc at 40 mg started, 1 pill daily
Mar 28, 2006	Topamax decreased from ¾ pill to ½ pill in the morning
Mar 21, 2006	Topamax decreased from ¾ pill to ½ pill at bedtime
Mar 14, 2006	Depakene decreased from from 7 mL to 6 mL at bedtime
Mar 7, 2006	Depakene decreased from from 7 mL to 6 mL at morning
Mar 4, 2006	Lactulose at 15 mL, three times daily
Feb 23, 2006	Depakene decreased from 7 mL to 6 mL at 3-5 pm
Feb 14, 2006	Lactulose started
Feb 5, 2006	Anafranil, deleted the 1 pill at 3-5 pm, (tooth fixed)
Jan 18, 2006	Anafranil added 1 pill at 3-5 pm
Jan 18, 2006	Topamax decreased from 1 pill to ¾ pill at bedtime
Jan 14, 2006	Topamax decreased from 1 pill to ¾ pill in the morning
Jan 11, 2006	Anafranil decreased from 2 pills BID to 1 pill BID (too excited)
Jan 2, 2006	Anafranil increased from 1 pill BID to 2 pills BID
Dec 31, 2005	Depakene in the morning dropped 7 mL from 8 mL
Nov 7, 2005	Depakene dosage at Bedtime dropped to 7 mL from 8 mL
Aug 25, 2005	Topamax dosage upped to 2 x 100 mg/day from 75 mg in a.m. & 100 mg in p.m